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Medicare changes get Senate approval - West Online A compromise version of the Rudd government's changes to the Medicare levy surcharge has been approved by parliament's upper house. The government's bill will lift the income thresholds at which taxpayers, without private health insurance, are ... Publ.Date : Thu, 16 Oct 2008 03:26:00 GMT Senate passes Medicare levy changes - The Australian CONTROVERSIAL changes to a tax penalty on people without health cover have been passed in the Senate, exempting an extra 250,000 Australians from the Medicare levy surcharge. The bill went through in the upper house despite a Coalition vote against ... Publ.Date : Thu, 16 Oct 2008 06:39:00 GMT 250,000 set to get Medicare tax cut - News.com.au SOME 250,000 people are in line for a tax cut and almost half-a-million people are set to dump private health cover after the Rudd Government struck a deal to ensure changes to the Medicare levy surcharge passed parliament today. As late as last ... Publ.Date : Thu, 16 Oct 2008 02:07:00 GMT GM retirees: Our health care experts answer your Medicare questions - Detroit Free Press The Free Press today hosted a Web chat for the 100,000 General Motors salaried retirees and their dependents making the transition to buying their own health benefits. It was held the first day of open enrollment for GM salaried retirees. Each ... Publ.Date : Wed, 15 Oct 2008 00:57:00 GMT Agreement reached to pass Medicare bill - Australian Broadcasting Corp. The Government has agreed to Independent Senator Nick Xenophon's demands to make changes to the Medicare levy surcharge threshold bill. The Government will now revise the threshold down from its proposed $75,000 for singles to $70,000, and from $150 ... Publ.Date : Thu, 16 Oct 2008 03:19:00 GMT Clickbank Affiliate Work At Home

Medical Practice Management Company Influences Major Reimbursement Policies

by June Marshall-kingsley

mpowermed, inc., a medical practice management company in Mahwah, NJ, influenced Aetna and Pennsylvania Centers for Medicare and Medicaid to change their reimbursement policies for certain medical procedures. Both patients and physicians benefit from these reimbursement changes.

The world of medical billing and coding for physician reimbursement is complex and can be daunting. Staying on top of the game with reimbursement policies from such large insurance organizations as Aetna, Medicare, and Medicaid takes knowledge and experience. But sometimes the policies don’t make sense, are not in the physician’s best interest, or have not changed to keep up with current medical practices.

That is where a proactive, dedicated, and experienced practice management company like mpowermed, inc., of Mahwah, New Jersey makes a difference -- by fighting for every cent due when the polices seem unfair, outdated, or simply incorrect for today’s needs. Such was the case with a policy regarding a breast cancer treatment involving a treatment device known as a breast board. Pennsylvania Medicare and Medicaid were denying payment for more than one use of these treatment devices a day. mpowermed appealed with the following words in a letter, “In a given course of treatment, it is most common to see more than a single treatment device in a day. We are confident that all medical documentation would prove medical necessity.”

Because of this letter, the Pennsylvania Center for Medicare and Medicaid Services wrote back to mpowermed saying they researched the treatment device situation and actually visited a large cancer treatment facility, “to view the devices and discuss their use and billing with a radiation oncologist.” Based on these findings, Pennsylvania Medicare and Medicaid will update their policies regarding this treatment device (CPT Code 77334).

Prior to this victory, mpowermed had written to Aetna about rejecting claims for another reimbursable item, Portal Film (CPT Code 77417) usage on the same day as the physician’s weekly management charge (CPT Code 77427). After amassing impressive documentation proof, mpowermed suggested the changes to differentiate between portal film usage in a freestanding clinic versus a hospital setting. Aetna agreed to reimburse the technical use of portal film in freestanding, privately owned radiation oncology clinics.

According to mpowermed, “It takes patience and perseverance to influence policy changes in large insurance organizations. Both Aetna and the Centers for Medicare and Medicaid Services were more than cooperative in affecting the necessary changes. It is for the benefit of the patient and the physician when they do! This is what makes medical practice management, billing, and coding such a rewarding opportunity!”

Company contact:

mpowermed, inc.
June Marshall-Kingsley
Marketing Manager
201-684-1616 Ext. 130
 

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